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Oregon rates for HCPCS 15110

Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Facilitymedian $1,622 · 10th–90th $955–$6,0260%20%10th90th$1,622Professionalmedian $1,585 · 10th–90th $1,259–$2,1380%20%10th90th$1,585$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,862.09 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,584.89 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,230.27 / $2,041.74
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,548.82 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,309.57 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $8,912.51